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Organization

A MINDFUL PATH, LLC

Active
Other names
Charlotte E. Wilkins, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUE TURGEON (BILLING SERVICE OWNER)
(561) 292-3126
Entity
Organization

Contact information

Practice address
1477 PARK STREET, SUITE 14, HARTFORD, CT 06106
(860) 402-9333
(860) 499-5477
Mailing address
1477 PARK STREET, SUITE 14, HARTFORD, CT 06106
(860) 402-9333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003729
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003729
LICENSE NUMVER
CT
Enumeration date
03/12/2009
Last updated
08/06/2010
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